[104-10222-10012.pdf — page 40]
SECRET(When Filled In)# REQUEST FOR PERSONNEL ACTION|                   |     |                                               |                    |             |                || ----------------- | --- | --------------------------------------------- | ------------------ | ----------- | -------------- || **DATE PREPARED** |     |                                               | **V to V**         | **V to UV** |                || Mo   Da    Yr     |     | 2. Name (Last-First-Middle)                   | UV to V            | UV to UV    |                || 27   08    58     |     | RAWALI, Frederick C.                          |                    | 6. CS-EOD   |                || 1. Serial No.     |     | 3. Date of Birth                              | 4. Vet. Prof.      | 5. Sex      | Mo Da Yr       ||                   |     | Mo   Da    Yr                                 | None-0             | M           |                ||                   |     | 10   23    26                                 | 5 Pt-1 10 Pt-2     |             |                || 7. SCD            |     | 8. CSC Reimt. 9. CSC Or Other Legal Authority | 10. Apmt. Aflidov. | 11. FEGLI   | 12. LCD        || Mo   Da    Yr     |     | Yes-1 Code                                    | Yes-1 Code         | Yes-1 Code  | 13. MIL. SERV. ||                   |     | No -2   1                                     | No -2              | No -2       | CREDIT CO.     ||                   |     |                                               |                    |             | Yes 1          ||                   |     |                                               |                    |             | No -2 Code     |# PREVIOUS ASSIGNMENT14. Organizational Designations| DDP/TS Branch Indonesia Section | Code               | 15. Location Of Official Station      | Station Code      |             |                          || ------------------------------- | ------------------ | ------------------------------------- | ----------------- | ----------- | ------------------------ || 16. Dept. Field                 | Code               | 17. Position Title (Consular Officer) |                   |             |                          || Dept. Usild. Frgn.              |                    | I.O. (FI)                             |                   |             |                          || 21. Grade & Step                | 22. Salary Or Rate | 23. SD                                | 24. Date Of Grade | 25. PSI Que | 26. Appropriation Number || (5) 3                           | (6.360)            | DI                                    | Mo   Da    Yr     |             | 10-201                   || 12 Z                            | 8590-8810.00       |                                       |                   |             | C-3700-98- ol            |# ACTION27. Nature Of ActionPromotion| Code | 28. Eff. Date | 29. Type Of Employee | Code 30. Separation Data || ---- | ------------- | -------------------- | ------------------------ ||      | 09 16 58      | Regular              |                          |# PRESENT ASSIGNMENT31. Organizational DesignationsDDP/PSFI/IIA - Indonesia-Malaya-Australia-New ZealandIndonesia Section| 33. Dept. Field    | Code               | 34. Position Title |                   |             |                          || ------------------ | ------------------ | ------------------ | ----------------- | ----------- | ------------------------ || Dept. Usild. Frgn. |                    |                    |                   |             |                          || 35. Grade & Stop   | 37. Salary Or Rate | 40. SD.            | 41. Date Of Grade | 42. PSI Due | 43. Appropriation Number || 13   1             | $9890              |                    | Mo Da Yr          | Mo Da Yr    |                          ||                    |                    |                    | 09 07 58          | 03 16 60    |                          |# SOURCE OF REQUESTA. Requested By (Name And Title)N. Speton/PersonnelB. For Additional Information Call (Name & Telephone Ext.)Forelle Little, x 2067C. Request Approved By (Signature And Title)# CLEARANCES| Clearance         | Signature | Date   | Clearance      | Signature | Date       || ----------------- | --------- | ------ | -------------- | --------- | ---------- || A. Career Board   |           | 4/1/58 | D. Placement   |           |            || B. Pos. Control   |           | 5/8/58 | E.             |           |            || C. Classification |           |        | F. Approved By |           | Sep 9 1958 |